Short-term comparison between preperitoneal and intraperitoneal onlay mesh placement in robotic ventral hernia repair
ConclusionOur data suggest r-IPOM may be associated with increased complication rates in the immediate postoperative period when compared to r-TAPP. However, at 3 months, outcomes are comparable. More investigation is needed in this area, specifically with regards to long-term follow-up and multicenter data, to determine the true value of extra-peritoneal mesh placement. (Source: Hernia)
Source: Hernia - April 9, 2019 Category: Sports Medicine Source Type: research

Small Bowel Obstruction by Broad Ligament Hernia: Three Case Reports, Management and Outcomes.
Authors: Fernandes MG, Loureiro AR, Obrist MJ, Prudente C Abstract Internal hernias are a rare cause of bowel obstruction (1%) and can be caused by broad ligament defects in 4% to 7% of the cases. These defects may be congenital or acquired and are classified according to its anatomical location. This paper reports three cases of small bowel obstruction by broad ligament hernia. The patients, three women aged from 35 to 51 years old, were admitted to the emergency department with small bowel obstruction. An exploratory laparotomy was performed during which an internal hernia through a broad ligament defect was iden...
Source: Acta Medica Portuguesa - April 5, 2019 Category: General Medicine Tags: Acta Med Port Source Type: research

Reply to: Confounding factors on the analysis of opioid prescription after pediatric umbilical hernia repair
We thank Dr. Argo for his interest and for his thoughtful comments on our work.1 There is unquestionably a role for perioperative nonopioid analgesia in reducing the use of opioids after surgery. Although the amount of tissue disruption in pediatric umbilical hernias is generally minimal and local anesthetic and nonnarcotic oral analgesics are —in our experience—highly effective, more sophisticated techniques, such as regional nerve blocks, are increasingly being used in both pediatric and adult surgery. (Source: Surgery)
Source: Surgery - April 5, 2019 Category: Surgery Authors: Randi Cartmill, Dou-Yan Yang, Sara Fernandes-Taylor, Jonathan E. Kohler Tags: Letter to the Editor Source Type: research

Laparoscopic ventral hernia repair with intraperitoneal only mesh —results from a general surgical unit
ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 4, 2019 Category: General Medicine Source Type: research

Selective muscle botulinum toxin A component paralysis in complex ventral hernia repair
ConclusionPreoperative selective muscle chemical component paralysis is an effective technique to counteract the chronic muscle retraction observed in large ventral hernias. Transversus abdominis plays a significant role in truncal and spinal stability, and sparing it from paralysis preserves an important component of abdominal wall physiology and does not detract from the ability to primarily close complex defects. (Source: Hernia)
Source: Hernia - April 4, 2019 Category: Sports Medicine Source Type: research

An in vitro study on the biocompatibility of fibroblasts in sterile and non-sterile low-cost and commercial meshes
ConclusionAgain, our studies show no significant differences in biocompatibility of fibroblasts between expensive and low-cost meshes. In addition, we detected fibroblast growth even in sterile meshes, independent of the mesh group. To our knowledge, the present study is the first of its kind in terms of qualitative equivalence of sterile and non-sterile in vitro mesh samples. We do not wish to create future patient studies with non-sterilized meshes saturated with antibiotics/antimycotics. However, perhaps we can prove in future studies that under semi-sterile conditions with certain LCMs, wound infection rates can be acc...
Source: Hernia - April 4, 2019 Category: Sports Medicine Source Type: research

Laparoscopic ventral hernia repair with intraperitoneal onlay mesh —results from a general surgical unit
ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 4, 2019 Category: General Medicine Source Type: research

Broad Band Ligament Hernias: A Case Report
AbstractPurpose of reviewInternal hernias account for 1% of all mechanical obstructions. However, internal hernias by defect of the broad ligament of the uterus are uncommon. This review aims to update our knowledge regarding this unusual pathology in order to understand its etiology and symptoms, and to aid in early diagnosis and management.Recent findingsSince the end of the nineteenth century, fewer than 100 cases of internal hernias secondary to a defect of the broad ligament have been described. It is known that this defect in the broad uterine ligament can be congenital or acquired, leading to symptoms such as chroni...
Source: Current Obstetrics and Gynecology Reports - April 3, 2019 Category: OBGYN Source Type: research

The results of open preperitoneal prosthetic mesh repair for acutely incarcerated or strangulated inguinal hernia: a retrospective study of 146 cases
ConclusionOpen preperitoneal prosthetic mesh repair can be safely performed in patients with incarcerated or strangulated inguinal hernia without contaminated hernia content. Mesh repair is not contraindicated in patients with bowel resection. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 3, 2019 Category: Surgery Source Type: research

A Multi-center, Prospective Clinical Trial of a Hepatic Derived Porcine Surgical Mesh for the Laparoscopic Repair of Symptomatic Paraesophageal Hernias.
ConclusionThe utilization of MIROMESH for crural reinforcement during laparoscopic PEHR resulted in excellent symptomatic improvement in our multicenter trial with a 10% 2 year radiographic recurrence rate. (Source: The American Journal of Surgery)
Source: The American Journal of Surgery - April 2, 2019 Category: Surgery Source Type: research

Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomised multicentre study, 1-year results
This study is a multicentre randomised controlled clinical trial. From November 2012 to May 2015, 193 patients undergoing LIVHR for primary incisional hernia with fascial defect size from 2 to 7  cm were recruited in 11 Finnish hospitals. Patients were randomised to either a laparoscopic (LG) or a hybrid (HG) repair group. The main outcome measure was hernia recurrence, evaluated clinically and radiologically at a 1-year follow-up visit. At the same time, chronic pain scores and QoL were a lso measured.ResultsAt the 1-year-control visit, we found no difference in hernia recurrence between the study groups. Altogether,...
Source: Surgical Endoscopy - April 2, 2019 Category: Surgery Source Type: research

A Multi-center, Prospective Clinical Trial of a Hepatic Derived Porcine Surgical Mesh for the Laparoscopic Repair of Symptomatic Paraesophageal Hernias.
We report the results of a multicenter trial evaluating a unique, biological mesh (MIROMESH) derived from decellularized porcine liver for hiatal cruralplasty during laparoscopic PEHR. (Source: American Journal of Surgery)
Source: American Journal of Surgery - April 1, 2019 Category: Surgery Authors: Michael J. Rosen, Frank J. Borao, Steven J. Binenbaum, J. Scott Roth, G. Kevin Gillian, Jon Gould, B. Todd Heniford Source Type: research

Midline preperitoneal repair for incarcerated and strangulated femoral hernia
ConclusionsMidline preperitoneal approach for incarcerated and strangulated femoral hernia is a convenient and effective technique. It can improve the rate of first-stage tension-free repair of incarcerated femoral hernia and allow intestinal resection through the same incision, and with lower rate of postoperative complications. (Source: Hernia)
Source: Hernia - April 1, 2019 Category: Sports Medicine Source Type: research

Cardiac arrest after induction of anesthesia in a 2-month-old infant with undiagnosed Williams syndrome.
Abstract A 2-month-old male infant presented for elective repair of inguinal hernias. His preoperative medical history and physical examination were unremarkable. During induction of anesthesia, the infant sustained an adverse cardiac event. The event was characterized by tachycardia, hypotension, and massive ST-segment elevation. Despite vigorous resuscitation, spontaneous hemodynamic stability could not be achieved and extracorporeal membrane oxygenation was required. A transthoracic echocardiogram revealed severe hypoplasia of the ascending aorta. As effective cardiac function did not recover and there was evid...
Source: Annals of Cardiac Anaesthesia - April 1, 2019 Category: Anesthesiology Authors: Dunlap JD, Green MC, Shah AM, Kibby BT, Billmire DF Tags: Ann Card Anaesth Source Type: research

Preoperative Botulinum Toxin and Progressive Pneumoperitoneum Are Useful in the Treatment of Large Incisional Hernias.
lud A PMID: 31043210 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2019 Category: Surgery Authors: Bueno Lledó J, Torregrosa-Gallud A Tags: Am Surg Source Type: research

Preoperative Botulinum Toxin and Progressive Pneumoperitoneum Are Useful in the Treatment of Large Incisional Hernias.
lud A PMID: 31053187 [PubMed - in process] (Source: The American Surgeon)
Source: The American Surgeon - April 1, 2019 Category: Surgery Authors: Bueno Lledó J, Torregrosa-Gallud A Tags: Am Surg Source Type: research

Successful manual reduction for ureterosciatic hernia: A case report
ConclusionA sciatic hernia in women may be manually reduced without surgery. Further reviews of this rare entity are needed to determine the best management strategy. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 31, 2019 Category: Surgery Source Type: research

Myth-Busting the DIEP Flap and an Introduction to the Abdominal Perforator Exchange (APEX) Breast Reconstruction Technique: A Single-Surgeon Retrospective Review
Conclusions: This study revealed no added risk when using pedicle disassembly to spare muscle/nerve structure during abdominal perforator flap harvest. Abdominal bulge/hernia was nearly completely eliminated. Fat necrosis rates were extremely low, suggesting benefit to pedicle disassembly and vascular routing exchange when required. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - March 29, 2019 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research

Combined Hartmann's Reversal and Abdominal Wall Reconstruction: Defining Postoperative Morbidity
Ventral hernias are common after Hartmann's procedure and add complexity to Hartmann's reversal. Colostomy reversal and abdominal wall reconstruction may be performed in a staged or concurrent fashion, although data are limited as to which strategy is optimal. We aimed to define the complication profile of concurrent abdominal wall reconstruction with colostomy reversal as compared to either procedure alone. (Source: Journal of Surgical Research)
Source: Journal of Surgical Research - March 28, 2019 Category: Surgery Authors: Thomas Curran, Christine C. Jensen, Mary R. Kwaan, Robert D. Madoff, Wolfgang B. Gaertner Tags: Gastrointestinal Source Type: research

Surgical management of chronic diaphragmatic hernias.
Authors: Filosso PL, Guerrera F, Sandri A, Lausi PO, Lyberis P, Bora G, Roffinella M, Ruffini E Abstract Chronic diaphragmatic hernia (CDH) is an uncommon disease which may be associated with significant morbidity and mortality. Antecedent (even many months or years before CDH development) blunt or penetrating thoracic/thoraco-abdominal trauma is generally recognized. A wide spectrum of different mechanisms of injury, timing in presentation, size of the diaphragmatic defect, types and amount of abdominal viscera herniated into the chest cavity, clinical symptoms are observed in CDHs. Thoracic and abdominal CT scan ...
Source: Journal of Thoracic Disease - March 26, 2019 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research

Incisional hernias following open gynecological surgery: a population-based study
AbstractIntroductionIncisional hernia is a common and costly complication following abdominal surgery. The incidence of incisional hernia after gynecological surgery is not as well studied as that after general surgery.Materials and methodsThe Swedish National Quality Register for Gynecological Surgery (GynOp) collects preoperative, intraoperative, and postoperative information regarding gynecological surgery. Data were extracted from 2006 to 2014. The National Patient Register (NPR) contains physicians ’ data from both public and private hospitals. Univariate and multivariate Cox proportional hazard analyzes were pe...
Source: Archives of Gynecology and Obstetrics - March 25, 2019 Category: OBGYN Source Type: research

Incidence of pediatric metachronous contralateral inguinal hernia and the relationship with contralateral patent processus vaginalis
The objective of this study was to verify the relationship between metachronous contralateral inguinal hernia (MCIH) and CPPV, and the risk factors of MCIH.MethodsChildren with unilateral inguinal hernia from three medical centers underwent either open or laparoscopic repairs. Clinical information, including demographics, morphological characteristics of CPPV, follow-up outcomes were collected.ResultsAmong 2942 patients (92.2%) who received open repair with successful follow-up, 185 (6.29%) developed MCIHs [125 (10.9%) on the right side and 60 (3.3%)] on the left including 156 (7.07%) younger than 3 years old and 29 (3.94%...
Source: Surgical Endoscopy - March 22, 2019 Category: Surgery Source Type: research

Prosthetic Mesh for the Prevention of Parastomal Hernias
Editor's note: This is a summary of a nursing care–related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org. (Source: AJN)
Source: AJN - March 22, 2019 Category: Nursing Tags: Cochrane Corner Source Type: research

Prosthetic Mesh for the Prevention of Parastomal Hernias.
Abstract Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org. PMID: 30896491 [PubMed - in process] (Source: The American Journal of Nursing)
Source: The American Journal of Nursing - March 22, 2019 Category: Nursing Authors: Pich J Tags: Am J Nurs Source Type: research

Complex abdominal wall hernias as a barrier to quality of life in cancer survivors
Conclusion: Our findings show the all-encompassing impact of a CAWH on the life of cancer survivors. They strongly suggest that hernia management should be viewed as an integral part in the continuum of cancer treatment to improve the quality of life of cancer survivors with hernias. PMID: 30900432 [PubMed - as supplied by publisher] (Source: Canadian Journal of Surgery)
Source: Canadian Journal of Surgery - March 22, 2019 Category: Surgery Authors: Nenshi R, Bensimon C, Wood T, Wright F, Smith AJ, Brenneman F Tags: Can J Surg Source Type: research

[Hiatus hernia : Standards and controversies in diagnostics and treatment].
e A Abstract A hiatus hernia is defined as a transdiaphragmatic protrusion/migration of the intrabdominal contents through the esophageal hiatus of the diaphragm. The classification of hiatus hernias is based on anatomical morphological differentiation (types I-IV). The leading symptoms and psychological stress vary with respect to the symptoms, e. g. reflux and compression symptoms. Gastroscopy and multichannel intraluminal impedance pH measurement are obligatory preoperative functional diagnostics. A distinction is made between frequent type I hernia (antireflux surgery), symptomatic paraes...
Source: Der Chirurg - March 22, 2019 Category: Surgery Authors: Weyhe D, Uslar V, Kühne J, Kluge A Tags: Chirurg Source Type: research

Incidental Morgagni Hernia Found During Laparoscopic Repair of Hiatal Hernia: Case Report & Review of Literature
ConclusionThe co-existence of Morgagni and Hiatal hernia is rare and the simultaneously laparoscopic repair of both hernias is safe and feasible. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 21, 2019 Category: Surgery Source Type: research

Is round ligament varicosity in pregnancy a common precursor for the later development of inguinal hernias? The prospective analysis of 28 patients over 9  years
ConclusionTemporary RLV-induced dilation of the deep inguinal ring in pregnancy is not a common precursor for the development of inguinal hernias later in life. All findings support the theory that the hindrance of venous blood flow caused by the gravid uterus is an important contributing factor for RLV in pregnancy, which is self-limited but has a high risk of recurrence and is not an indication for surgery before or after delivery or for cesarean section. (Source: Hernia)
Source: Hernia - March 21, 2019 Category: Sports Medicine Source Type: research

Robotic Morgagni hernia repair: an emerging approach to a congenital defect
The objective of this report is to describe four cases of robotic repair of MH in adults performed by a single surgeon to better delineate an emerging approach to this rare condition. A retrospective review of patients who underwent robotic repair of MH by a single surgeon was performed. Four consecutive patients were identified and included. The median age of patients was 43 (range: 23 –70). All patients had symptoms prior to diagnosis, including substernal chest pain (n = 3), dyspnea (n = 4), dysphagia (n = 1), and regurgitation (n = 1). All patients underwent...
Source: Journal of Robotic Surgery - March 19, 2019 Category: Surgery Source Type: research

Large Hiatal Hernia Repair with Urinary Bladder Matrix Graft Reinforcement and Concomitant Sleeve Gastrectomy.
Conclusion: In this series of 32 cases, laparoscopic cruroplasty with UBM graft reinforcement has been effective and durable at 12 months of followup. This technique may offer one satisfactory solution for large hiatal hernia repair concomitant with laparoscopic sleeve gastrectomy that may achieve a durable repair with low GERD symptoms. PMID: 30880900 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - March 19, 2019 Category: Surgery Tags: JSLS Source Type: research

Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study
This study examined patient-related outcome measures (PROMs) after repair of ventral primary or incisional hernias using Symbotex ™ composite mesh (SCM), a novel three-dimensional collagen-coated monofilament polyester textile.MethodsPre-operative, peri-operative, and post-operative data were obtained from the French “Club Hernie” registry with 12- and 24-month follow-up.ResultsOne-hundred consecutive patients (mean age 62.0  ± 13.7; 51% female) underwent repair of 105 hernias: primary (39/105, 37.1%, defect area 5.2 ± 5.6 cm2) and incisional (66/105, 62.9%, 31.9 ...
Source: Hernia - March 18, 2019 Category: Sports Medicine Source Type: research

Laparoscopic repair of a ureterosciatic hernia with urosepsis.
Abstract Hernias of pelvic floor are very rare condition, and herniations of ureter into sciatic foramen are extremely rare condition which is globally reported only by 32 cases. Clinical aspects of ureterosciatic hernias appeared variously according to the degree of hydronephrosis, inflammation and infection of kidney due to ureter obstruction. Herein, we report our experience of laparoscopic repair in a patient with ureterosciatic hernia combined urosepsis. PMID: 30882165 [PubMed - as supplied by publisher] (Source: Urology Journal)
Source: Urology Journal - March 18, 2019 Category: Urology & Nephrology Authors: Moon KT, Cho HJ, Kang JY, Yoo TK, Cho JM Tags: Urol J Source Type: research

Surgical repair of a large ventral hernia under spinal anaesthesia: A case report
CONCLUSIONOpen surgery of large ventral hernia in spinal anaesthesia can be performed because the spinal anaesthesia provides adequate conditions for ventral hernia repair. The patient has to be in good physical condition in order for the surgery to be successful. During the surgery the patient has to be watched over vigilantly by the anaesthesiologist. (Source: Annals of Medicine and Surgery)
Source: Annals of Medicine and Surgery - March 16, 2019 Category: General Medicine Source Type: research

Long-Term Morbidity after Endometrial Cancer Surgery: a Comparison of Open vs. Robotic Approach
AbstractThis retrospective study is looking into the long-term morbidity after endometrial cancer staging surgery and compares the long-term morbidity of patients who underwent open staging surgery vs. robotic approach. One hundred twenty-nine patients who underwent staging surgery for endometrial cancer from January 2014 until June 2017 were included in the analysis. Morbidities occurring 1  month after surgery—vault complications, incisional hernias, vault dehiscence, and lymphedema—were looked into. There were no statistically significant differences between the long-term complications in both groups (v...
Source: Indian Journal of Surgical Oncology - March 16, 2019 Category: Cancer & Oncology Source Type: research

The Application of Extraperitoneal Ostomy Combined with Pelvic Peritoneal Reconstruction in Laparoscopic Abdominoperineal Resection for Rectal Cancer.
Conclusion: We consider LAPR with our two techniques feasible and safe, which can be accepted quickly to improve the life quality of patients. Therefore, we suggest our procedures as the first choice during LAPR surgery. This trial is registered with trial registration number 2014028. PMID: 30867662 [PubMed] (Source: Gastroenterology Research and Practice)
Source: Gastroenterology Research and Practice - March 15, 2019 Category: Gastroenterology Tags: Gastroenterol Res Pract Source Type: research

Simultaneous robotic assisted laparoscopic prostatectomy (RALP) and inguinal herniorrhaphy (IHR): proof-of-concept analysis from a high-volume center
AbstractPurposeInguinal hernia (IH) is detected in approximately 33% of RALP ’s either pre or intraoperatively wherein all are repaired during RALP to circumvent future herniorrhaphy (Fukuta et al., Urology 68(2):267–271, 2006; Nielsen, Urology 66(5):1034–1037, 2005). Some debate this policy by quoting the potential risk of mesh lying close to the vesicourethral anasto mosis leading to infections and adhesions. The current study was initiated to elucidate the feasibility and outcomes of simultaneous inguinal herniorrhaphy (IHR) during RALP.MethodsHistoric analysis of prospectively maintained data of 1224 ...
Source: Hernia - March 15, 2019 Category: Sports Medicine Source Type: research

Laparoscopic Ventral Hernia Repair with a Non-Woven Hernia Mesh.
CONCLUSION: The results for laparoscopic ventral hernia repair, using a relatively new non-woven randomly oriented polypropylene microfiber mesh, are good with long-term follow up completed in the majority of patients. More experience with this type of mesh could generate evidence for the benefits of this mesh material in laparoscopic ventral hernia repair. PMID: 30865784 [PubMed - as supplied by publisher] (Source: Surgical Technology International)
Source: Surgical Technology International - March 14, 2019 Category: Surgery Tags: Surg Technol Int Source Type: research

A new gentle reduction technique for patients with congenital diaphragmatic hernia—A case report
In conclusion, the twisting technique allows for gentle, gradual reduction of diaphragmatic hernias with a sac without injury to the herniated viscera. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 13, 2019 Category: Surgery Source Type: research

Approach to Groin Hernias
This study summarizes treatment approaches to groin hernias. (Source: JAMA Surgery)
Source: JAMA Surgery - March 13, 2019 Category: Sports Medicine Source Type: research

Laparoscopic versus open repair of groin hernias in children: a systematic review and meta-analysis
ConclusionOur results indicate similar outcome after laparoscopic and open techniques for groin hernia repair in children. The surgeon ’s preference as well as the wishes of the patient and parents should therefore determine the surgical approach. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 13, 2019 Category: Surgery Source Type: research

Ureter herniation in urgent inguinoscrotal hernia repair: An uncommon situation
Ureteral herniation is a rare presentation in inguinal hernias,  often underdiagnosed because of its asymptomatic course. Therefore, ureteral herniation can represent a trap for the surgeon who encounters one in a large fatty hernia. (Source: Surgery)
Source: Surgery - March 13, 2019 Category: Surgery Authors: Marina P érez-Flecha González, Joaquín Manuel Muñoz Rodríguez, Diego Tristán Enjuto Martínez, Patricia López Quindós, Miguel Ángel García Ureña Source Type: research

Laparoscopic repair for parastomal hernia with ongoing barbed suture followed by sandwich-technique: & #39;Sandwich-plus-technique & #39;
We present three cases where we have closed the hernia gap with continuous, non-resorbable, self-retaining sutures with subsequent use of the sandwich technique ('Sandwich-plus-technique'). There were pronounced parastomal hernias in three female patients (mean age was 72 years and the range was 63–78 years) with permanent colostomata. After laparoscopic adhesiolysis, the closure of the hernia defect was completed with ongoing, barbed non-resorbable 1-0 sutures (polybutester) followed by the sandwich technique. There were no intraoperative complications and currently no clinical or radiological evidence for r...
Source: Journal of Minimal Access Surgery - March 12, 2019 Category: Surgery Authors: Reiko Wiessner Thomas Vorwerk Alexander Gehring Source Type: research

Application of chemical adhesive in open repair of abdominal wall hernias.
Authors: Liu Y, Yang H, Chen J, Shen Y Abstract PMID: 30848113 [PubMed - as supplied by publisher] (Source: Panminerva Medica)
Source: Panminerva Medica - March 10, 2019 Category: General Medicine Tags: Panminerva Med Source Type: research

Pain resolution in non-operatively managed ultrasound-only groin hernias: 3-year follow-up
ConclusionAt least in the medium term, non-operative management of men who present with groin pain (with an ultrasound scan reporting a hernia but no lump) is reasonable. (Source: Hernia)
Source: Hernia - March 9, 2019 Category: Sports Medicine Source Type: research

Prevalence of Posttraumatic Stress Disorder (PTSD) in Patients with an Incisional Hernia
Publication date: Available online 7 March 2019Source: The American Journal of SurgeryAuthor(s): Hemasat Alkhatib, Luciano Tastaldi, David M. Krpata, Judith Scheman, Clayton C. Petro, Aldo Fafaj, Steven Rosenblatt, Michael J. Rosen, Ajita S. PrabhuAbstractBackgroundWe investigate the prevalence of PTSD in patients with an incisional hernias presenting for evaluation at our institution.MethodsStudy patients were screened for PTSD using the PCL-5 checklist for DSM-5. Patient-reported quality of life and pain scores were assessed using validated tools (HerQLes and PROMIS Pain Intensity 3a survey).ResultsThe prevalence of PTSD...
Source: The American Journal of Surgery - March 7, 2019 Category: Surgery Source Type: research

Congenital inguinal hernia, hydrocoele and undescended testis
Publication date: Available online 6 March 2019Source: Surgery (Oxford)Author(s): A. Kate Khoo, Stewart J. CleeveAbstractCongenital inguinal hernias (CIH), hydrocoeles and undescended testes (UDT) are common groin conditions in neonates, infants and children that are encountered by general practitioners, paediatricians, general surgeons and paediatric surgeons. CIH, hydrocoeles and UDT share a common embryological origin. Clinical differentiation between the three conditions can be challenging, particularly as they may exist in isolation or combination in the same patient. Accurate clinical distinction is imperative as the...
Source: Surgery (Oxford) - March 7, 2019 Category: Surgery Source Type: research

A new gentle reduction technique for patients with congenital diaphragmatic hernia - A case report
In conclusion, the twisting technique allows for gentle, gradual reduction of diaphragmatic hernias with a sac without injury to the herniated viscera. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - March 7, 2019 Category: Surgery Source Type: research

Mini- or Less-open Sublay Operation (MILOS): A New Minimally Invasive Technique for the Extraperitoneal Mesh Repair of Incisional Hernias
Objective: Improvement of ventral hernia repair. Background: Despite the use of mesh and other recent improvements, the currently popular techniques of ventral hernia repair have specific disadvantages and risks. Methods: We developed the endoscopically assisted mini- or less-open sublay (MILOS) concept. The operation is performed transhernially via a small incision with light-holding laparoscopic instruments either under direct, or endoscopic visualization. An endoscopic light tube was developed to facilitate this approach (EndotorchTM Wolf Company). Each MILOS operation can be converted to standard total extraper...
Source: Annals of Surgery - March 7, 2019 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Prevalence of Posttraumatic Stress Disorder (PTSD) in Patients with an Incisional Hernia
We investigate the prevalence of PTSD in patients with an incisional hernias presenting for evaluation at our institution. (Source: American Journal of Surgery)
Source: American Journal of Surgery - March 7, 2019 Category: Surgery Authors: Hemasat Alkhatib, Luciano Tastaldi, David M. Krpata, Judith Scheman, Clayton C. Petro, Aldo Fafaj, Steven Rosenblatt, Michael J. Rosen, Ajita S. Prabhu Source Type: research

Congenital inguinal hernia, hydrocoele and undescended testis
Congenital inguinal hernias (CIH), hydrocoeles and undescended testes (UDT) are common groin conditions in neonates, infants and children that are encountered by general practitioners, paediatricians, general surgeons and paediatric surgeons. CIH, hydrocoeles and UDT share a common embryological origin. Clinical differentiation between the three conditions can be challenging, particularly as they may exist in isolation or combination in the same patient. Accurate clinical distinction is imperative as the management and outcome is different for each condition. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - March 6, 2019 Category: Surgery Authors: A. Kate Khoo, Stewart J. Cleeve Tags: Paediatric surgery – I Source Type: research